Nursing HomeInspections

Greenfield Rehab and Nursing Center

Nursing home in Royal Oak, MI

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
3030 Greenfield Ave, Royal Oak, MI 48073
Phone
(248) 288-6610
Listed under
For-profit
Medicare CCN
235433
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
4 of 5
Certified beds
105
Average residents per day
86
Ownership
For-profit, limited Liability company
Legal business name
Diversified Rehab Services, LLC
Chain
Optalis Health & Rehabilitation (36 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 14, 1984
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 235433. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Aug 12, 2026. CMS lists 78 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 24, 2024 to Aug 12, 2026): 45 from complaint inspections, 6 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Aug 12, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 12, 2026Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 12, 2026Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 12, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 12, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 12, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 12, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Aug 12, 2026Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration		D
Potential for more than minimal harm, isolated
Aug 12, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Aug 12, 2026Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Aug 12, 2026Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Aug 12, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 78. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $358,647 and 2 denials of Medicare payment for new admissions in the last three years.

Oct 7, 2025Fine: $17,345
Jul 25, 2025Fine: $234,637
Jul 25, 2025Payment denial for 7 days from Aug 22, 2025
Oct 23, 2024Fine: $39,585
Apr 24, 2024Fine: $67,080
Apr 24, 2024Payment denial for 14 days from May 28, 2024

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.50 hours
Registered nurse (RN) time per resident per day
0.71 hours
Nurse aide time per resident per day
1.85 hours
Total nurse staffing on weekends
3.08 hours
Nursing staff turnover (yearly)
53%
RN turnover (yearly)
36%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error